Sclerotherapy of the veins of the lower extremities. Sclerotherapy of the veins of the lower limbs - prices. Sclerotherapy of the veins of the lower extremities - contraindications

Sclerotherapy of the veins of the lower extremities For today - one of the most effective methods of treatment of varicose veins and other diseases of the lymphatic system and vessels. This method is used in many clinics, this procedure is atraumatic and painless.

The essence of sclerotherapy

This procedure is non-surgical and consists in removing the altered veins. This method involves the introduction of a special medicinal substance into a vein with a very thin needle. As a result, the walls of the vessel are stuck together, after that the drug dissolves in the body, without causing side effects. After a certain time, the vein lumen gradually grows, and the vessel becomes just a fibrous band. This method is no less effective than the methods of prompt disposal of varicose veins (laser surgery).

Historical reference

Sclerotherapy of the veins of the lower extremities is a relatively young method. However, the first attempts at treatment in this way were made in the 17th century, when physicians tried to inject the acid into the vessel for its thrombosis (blockage). Then in the XIX century, Perchlor was tested for getting rid of varicose veins. But such experiments led to serious negative consequences in patients, therefore, this technique was abandoned for a long time. In 1946, a drug such as Tetradecil Sulphate (or Fibrovein) was discovered, and sclerotherapy received a second birth. This tool is used today. However, now this procedure is carried out with the help of modern equipment and the latest diagnostic methods, in particular, ultrasound examination of vessels (ultrasound).

Types of sclerotherapy

Today, doctors use three basic methods of procedure:

• Microsclerotherapy. This is the simplest technique. With the help of a thin needle, a sclerosing agent is injected into the vein. This method is used if the pathological formations do not exceed 2 mm.

• Echosclerotherapy. When the drug is administered, ultrasound duplex scanning is performed, with the help of which the doctor monitors the position of the needle and pathologically altered veins. In this case, sclerosing agents will fall exactly into the vein. This method is used for sclerosing deep and large veins.

• Foam sclerotherapy - this technique is still called "foam form". In this case, the drugs used are detergents, that is, when mixed with air, they can turn into foam. In comparison with other methods of treatment, this method has certain advantages: due to foam-like state, the dose of sclerosing agents can be reduced without loss of effectiveness; Improves the contact of the drug and the inner surface of the vein wall; It is possible to treat the superficial main veins of the lower extremities (small and large subcutaneous veins) at the site where they flow into the main deep veins.

How is the procedure performed?

First of all, the doctor carefully examines the areas requiring correction, if necessary, appoints additional studies, after which the puncture of the affected vein or vessel is performed. As a rule, this procedure is carried out under ultrasound control. This is necessary for the most accurate hit of the needle in the affected area and control over the administration of the drug. To prevent possible bleeding, piercing is performed by a thinnest needle (similar to the needle of an insulin syringe). In the affected area after the puncture, a special sclerosing agent is administered. The dose of the drug is determined by the physician-phlebologist in an individual order. The amount of the agent administered depends on the location of the affected area and its size. If the foam foam method is chosen, then the agent is administered as a foam, in the usual method, the liquid form of the preparation is used.

Post-procedure actions

After sclerotherapy, the patient is recommended:

• Walking tour for an hour;

• Within three days after the procedure, to give up aerobics, gymnastics;

• Avoid prolonged sitting or lying down for two weeks;

• For two months not to visit saunas, baths, do not take hot baths;

• For three to four months, wear elastic stockings or bandages.

Indications for the procedure

Sclerotherapy of the veins of the lower extremities Is carried out under such conditions as:

• Vascular mesh. This is the first sign of a beginning varicose veins disease. At this stage, treatment is most effective.

• Vascular asterisks. These are vascular formations, having the form of a star, the rays of which diverge from the center outward.

• Varicose veins of the lower extremities. Sclerotherapy is not used at all stages of the disease. Indication for the procedure is determined by the doctor.

• Subcutaneous vascular neoplasms - hemangiomas, lymphangiomas. With these ailments sclerotherapy, as a rule, is carried out in the conditions of a specialized surgical hospital.

Sclerotherapy of the veins of the lower extremities: contraindications

Conducting this procedure is contraindicated when:

• Obstruction of deep and connective veins;

• Diabetes mellitus;

• Chronic kidney and liver diseases;

• Propensity to allergy;

• Severe heart disease;

• Pregnancy and lactation;

• Serious diseases of blood vessels;

• Infections and inflammatory processes on the skin at the site of the proposed injection.

The presence of any of these conditions must be reported to the doctor.

Possible phenomena after the procedure

After many medical procedures, there are various side effects. After such a procedure as Sclerotherapy, the consequences can be the following:

• At the injection site, bruises remain, which eventually disappear.

• On the area of the skin, subjected to manipulation, the appearance of pigmentation is possible. As a rule, this phenomenon is not common, but it is impossible to avoid the appearance of this defect when large veins are removed.

• A small network of capillary vessels may appear around the removed vascular asterisk or vein - recurrent telangiectasias. This phenomenon can be a consequence of hyperreaction of the skin to the injected drug. As a rule, almost all (up to 90%) of the capillaries disappear on their own 6 months after the procedure.

In rare cases, more serious complications are possible:

• A severe burn that can occur if a large amount of sclerosing material enters the tissues around the vein.

• Thrombophlebitis is an inflammation of the vein wall that occurs when sclerotherapy of large veins and failure to follow the recommendations of a doctor after the procedure.

• Thrombosis of veins - after the introduction of a sclerosing agent, the formation of thrombi is possible. However, this phenomenon is extremely rare.

Sclerotherapy of the veins of the lower extremities: the price of the procedure

The cost of this method of treatment is an important issue that arises in potential patients. Not everyone can afford expensive treatment. On such a procedure as sclerotherapy of the veins of the lower extremities, the prices are, although not at a low, but at an affordable level. The cost of the procedure depends on the severity of the disease. In Russia, the average price is 14,000 rubles. The most expensive is a complex technique, where microsclerotherapy and sclerotherapy of veins are required. The prices for this procedure are in the range of 11000-40000 rubles. The cost of the "foam form" method is about 20,000-30000 rubles. Sclerotherapy: before and after the procedure

Advantages of this technique

Sclerotherapy of the veins of the lower extremities in comparison with other methods of treating varicose veins has a number of undeniable advantages:

• The procedure is painless. During manipulation, the patient can only feel a slight burning sensation, which is the norm. Since the sclerosing drug is injected with a thinnest needle, even the patient with a heightened sensitivity to pain will not feel any discomfort.

• The clinics use modern equipment that does not have any negative impact on the body. Therefore, the procedure is absolutely safe.

• The procedure is performed on an outpatient basis and does not require inpatient therapy.

• A positive effect can be seen after the first injection of the sclerosing agent.

• The course of treatment does not take much time.

• After sclerotherapy, there is never any scars on the skin.

Reviews about the procedure

Most of those who turned to such a method as Sclerotherapy veins, reviews about The procedure is left positive. However, first of all they are satisfied with the cosmetic effect obtained, because in the majority of varicose veins only appear visually - a reticulum of vessels and "asterisks". Those who were afraid of surgery and decided to get rid of more serious problems with the help of such procedure as sclerotherapy of the veins of the lower extremities, the reviews leave negative. And there is an explanation for that. The fact is that this technique is effective for the treatment of small veins and small vessels. When the stage of varicose veins is already serious enough, sclerotherapy will be ineffective.

There is no absolutely perfect method of treatment, each procedure has its own shortcomings and advantages.